Shapes Dance and Acro Studio Online Registration

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We at SDA are so excited to have your family join us! Registration is open for March enrollment. If you have any questions, please email info@shapesdance.com for assistance.

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

First Name

Last Name

Type

How can we contact you?

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs

Allergies

When selecting classes please choose the correct studio location:
SDAS = Carrollton
SDASR = Richmond
SDASC = Concordia
SDASM = Marshall

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs

Allergies

When selecting classes please choose the correct studio location:
SDAS = Carrollton
SDASR = Richmond
SDASC = Concordia
SDASM = Marshall

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs

Allergies

When selecting classes please choose the correct studio location:
SDAS = Carrollton
SDASR = Richmond
SDASC = Concordia
SDASM = Marshall

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs

Allergies

When selecting classes please choose the correct studio location:
SDAS = Carrollton
SDASR = Richmond
SDASC = Concordia
SDASM = Marshall

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date*

Additional Info

T-Shirt Size*

Special Needs

Allergies

When selecting classes please choose the correct studio location:
SDAS = Carrollton
SDASR = Richmond
SDASC = Concordia
SDASM = Marshall

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

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Account Information

ePayment Schedule*

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Exp Year

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Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

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Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

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I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

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